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General NPI Number Information
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NPI Number | 1164770293
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Entity Type | Organization
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Legal Business Name | BAXTER COUNTY REGIONAL HOSPITAL, INC
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 624 HOSPITAL DR
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2955
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Country | US
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Telephone | 870-508-7388
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Fax | 870-508-1354
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Provider Business Mailing Address
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Address Line | 624 HOSPITAL DR
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2955
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Country | US
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Telephone | 870-508-7388
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Fax | 870-508-1354
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Authorized Official
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Title or Position | CFO
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Name | DEBRA HENRY
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Credential |
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Telephone | 870-508-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | HP0031
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License Number State | AR
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